116 THE FEMALE ORGANS OF GENERATION. 
What is a para-metritis ? 
It is a suppurative inflammation attacking the connective tissue 
about the uterus and within the folds of the peritoneum. 
What forms of inflammation are found in the pregnant uterus? 
The forms just described may attack the pregnant uterus. Another 
form of inflammation, called puerperal inflammation, may occur. Itis 
caused by injury during or after delivery, and the action of some 
infectious material that may have been absorbed at the same time. 
The changes are similar in character to those of any of the subvarieties 
of exudative inflammation and may attack other parts to which some 
of the infectious material may have been carried by the blood or lym- 
phatics. In this way foci of suppurative inflammation with the forma- 
tion of metastatic abscesses may be produced. 
What forms of ulceration may attack the uterus ? 
Catarrhal, tubercular and syphilitic ulceration may occur with their 
respective varieties of inflammation; another form phagedenie or cor- 
voding ulcer usually occurring in old age, may attack the cervix uteri 
and adjacent parts. This form has indurated walls and a dark or 
black roughened base. It is probably a form of carcinoma. 
What degenerations have been noted in the uterus ? 
Fatty degeneration and amyloid degeneration. 
‘What forms of tumors have been found in the uterus ? 
Fibromata, myomata, angiomata, sarcomata and carcinomata. 
OVARY. 
What forms of inflammation are seen in the ovary ? 
Acute inflammation, 
Chronic interstitial inflammation. 
Tubercular and syphilitic inflammation. 
The two latter forms show changes common to them in other parts. 
What are the changes in an acute inflammation of the ovary ? 
The stroma is swollen, congested and soft. It is infiltrated with 
serum and pus which may result in the formation of abscesses. If 
the inflammation attacks the capsule, adhesions may be formed with 
adjacent parts. 
What changes are seen in chronic interstitial oophoritis ? 
There is an increased growth of new tissue which may be a loose 
and cellular, or a hard and dense connective tissue. It may be formed 
